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The attending physician states “malnutrition” with unspecified severity in the record. The final impression on the dietitian’s consultation was “Severe Malnutrition.” Could the malnutriti...
No, there ar...
A registered dietician assessed the patient, and documented severe malnutrition. Following dietary assessment, the physician reviews the information and signs off via e-signature. Since the dietary...
It is beyond...
The patient is a 65-year-old man, who presents with symptomatic persistent atrial fibrillation (AF) despite medical therapy, and was referred for redo ablation procedure. A hybrid ablation converge...
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A patient presents with recurring nausea and vomiting for 4-5 days. The provider documented cannabinoid hyperemesis syndrome. What is the appropriate code assignment for cannabinoid hyperemesis syn...
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The Official Guidelines for Coding and Reporting for Psychoactive Substance Use, Unspecified (I.C.5.b.3.) state, “These codes are to be used only when the psychoactive substance use is associated...
Effective Oc...
A patient is diagnosed with acute alcoholic pancreatitis due to alcohol dependence. Would it be appropriate to assign code F10.288, Alcohol dependence with other alcohol-induced disorder, as an add...
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A 27-year-old female presented for delivery, at 37 weeks gestation. She was found to have fluid leak, and fever. The provider diagnosed an active group B Streptococcus (GBS) infection, which was tr...
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A patient with a past medical history of obstructive sleep apnea (OSA) is admitted and placed on continuous positive airway pressure (CPAP) at night and as needed during the day. During the admissi...
The CPAP sys...
For the above patient, who is receiving CPAP at night and intermittently during the day, would it be appropriate to assign code Z99.89, Dependence on other enabling machines and devices, to describ...
No. Code Z99...
A patient with a long-standing history of type 2 diabetic polyneuropathy underwent bariatric surgery. The patient no longer requires medication for the diabetes secondary to the significant weight ...
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